www.worcestershire.gov.uk

Putting People FirstUpdate

Mental Health VCS NetworkThursday 16th September 2010

Amanda Smith Development Manager, Choice & Control&Sue HarrisLead Commissioner for Mental Health

www.worcestershire.gov.uk/choiceandcontrol

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Personalisation – What is it ?

• Choice and Control – assessment, funding, services, evaluation

• Focus on everyone not just the few

• Focus on early intervention / prevention rather than crisis management

• Focus on quality of life and personal outcomes not needs and disabilities

• Self directed support for eligible people and their personal budgets, with a support / brokerage rather than assessment / gate keeping role for statutory agencies

• Information, advice and advocacy key

• More efficient use of available money building on personal, family, friends, and community resources and networks

www.worcestershire.gov.uk/choiceandcontrol

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Personalisation – Why ?

Demographics – by 2026 the population of over 65s will increase by 56% from 96,500 to 151,000

Finances - Wanless Review identified that the total spend on social care for older people would need to increase from £10.1bn in 2002 to £24bn by 2026

Eligibility - FACS criteria focuses on critical and substantial with little funding for prevention which can mean people become more dependent for longer (Transforming Social Care)

Expectations – are growing and people don’t want the menu of services provided by Social Care (Putting People First)

Citizenship – need to shift control and decision making power from the state to the citizen for social care

www.worcestershire.gov.uk/choiceandcontrol

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Four key areas of transformation

1. Access to Universal Services2. A focus on Prevention and Early Intervention3. Increased Choice & Control4. Maximizing Social Capital

www.worcestershire.gov.uk/choiceandcontrol

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Milestone Self-ImprovementFramework

Milestone 1: Effective partnerships and people using services, carers and other local citizens.Milestone 2: Self-directed support and personal budgets.Milestone 3: Prevention and cost effective services.Milestone 4: Information and adviceMilestone 5: Local commissioning

www.worcestershire.gov.uk/choiceandcontrol

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www.worcestershire.gov.uk/choiceandcontrol

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Personalisation in Mental Health – the challenges

• Social and health care policy• Pace of change and expectation• More prescribed system• “Duty of care”

• Different access / pathway• Limited creative care planning• Limited menu to choose from• Issues around capacity and timely recovery

www.worcestershire.gov.uk/choiceandcontrol

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Making it a reality

JCU addressing 3 key challenges:1. Menu of provision2. Support 3. Creative support planning

How? • Re- ablement service• Introduction of the recovery star, • Updated dashboard linked to outcomes

www.worcestershire.gov.uk/choiceandcontrol

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Coming on the journey

Re-ablement +• 3 year market support mechanism• Moving the market closer to what people want• Recovery is central• Develop unit costs linked to outcomes

Health Budgets – for example:• s117 • Crisis budgets

www.worcestershire.gov.uk/choiceandcontrol

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Uncertain times

Structural reform and financial pressures = changing environment for providers

Need to enhance the outcomes for service users, maximize what is available and build capacity….

Personalisation at the core of future delivery

www.worcestershire.gov.uk/choiceandcontrol

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Choice and Control – Summary

“The overall vision is that the state should empower citizens to shape their own lives and the services they receive.”

• Change is inevitable

• Partnership working- users/carers, providers, statutory agencies – is vital